Individual
FREDY E DELACRUZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 MINTON RD NW, STE 101, PALM BAY, FL 32907-1975
(321) 722-1984
(321) 722-0028
Mailing address
6100 MINTON RD NW, STE 101, PALM BAY, FL 32907-1975
(321) 722-1984
(321) 722-0028
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME39547
FL
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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